Form4insider filings, from the source

SEC Form 3/A · accession 0001052918-16-001488

Jayhawk Energy, Inc. · JYHW

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

This is an amendment (Form 3/A). It replaces an earlier filing for the same period.
Reporting owner
Period of report
Sep 20, 2016
Accepted (ET)
Dec 30, 2016 · 1:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001308710

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common stockF1,F2holding———39,583,263D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Convertible Promissory NoteF1,F2$0.0065holding———Sep 20, 2016Sep 19, 2018Common stock1,000,000—D
Stock Purchase WarrantF1,F2$0.005holding———Oct 8, 2015Oct 7, 2020Common stock23,583,418—D

Explanation of responses

Remarks

No securities are beneficially owned by the Person signing on behalf of the Reporting Person.